Selected contractor will provide a series of trainings and exercises over six to eight weeks for selected staff. Trainings and exercises will consist of at least the following: BH Benefits Design and Administration Trainings and exercises in this area will, at a minimum, include history and evolution of behavioral health benefits under Medicaid (covered populations, including mandatory and optional, covered services, including mandatory and optional, coverage authorities [SPAs, Waivers, and combination approaches], delivery systems (FFS/MCP/ASO), etc.) to Medicare, employer sponsored (including MHPAEA considerations), exchange plans and indigent care using state (legislative/budget) and federal (SAMHSA) perspectives. This would also include addressing the coordination and interplay between all the “players” using real world Ohio and other states examples. Business and Financial Structures and Approaches Trainings and exercises in this area will, at a minimum, address the real world business aspects of state governmental approaches and methods to financially supporting and directing businesses which are operating in the public community behavioral health arena. Topics will include state government structures for all entities financially and administratively supporting behavioral health care providers (practitioners) and organizations (businesses), local structures (ADAMHS Boards, Hospital systems, local health departments, ODMH regulated entities, etc.) for business and financial support, and individual business models leveraged by individuals and organizations providing behavioral health services. Financial Acumen Trainings and exercises in this area will, at a minimum, address practical and pragmatic approaches to public financing of behavioral health benefits and services. Items to address in this area at the state governmental and business levels are sequencing, blending, and braiding of funding, alternative payment models (APMs) to fee for service (FFS) such as PMPM, bundles, PFP, case rates, and episodes of care. Underneath each of the APMs addressed, additional details for the financing approaches will include budgeting and financial management, outcome monitoring, quality metrics, and other metrics to properly monitor and evaluate the effectiveness and return on investment for the APM. Additionally, for both the state governmental and business levels, trainings and exercises will include addressing administrative aspects and coverage (grants, medicaid administrative claiming [MAC], inclusion of administrative overhead costs in determining financial viability of APMs) options for necessary administrative costs associated with behavioral health care services and delivery. Perspectives and Considerations for BH service Organizations Leadership Trainings and exercises in this area will, at a minimum, address all the previous topic areas but aligned with and representative of the perspective of Chief Executive/Operating Officers (CEOs/COOs) and Chief Financial Officers (CFOs) of large, medium, and small community behavioral health services organizations certified by ODMH. This may be accomplished through panel discussions/presentations (to the extent CEOs/COOs and CFOs are willing) to ODMH staff and associated real world exercises (e.g. taking an agency budget and staffing and working through how to apply funding reductions).
